WO2024028352A1 - Procédé mis en œuvre par ordinateur et dispositif conçus pour déterminer un dessin d'un dispositif médical comprenant une partie en forme de tige - Google Patents

Procédé mis en œuvre par ordinateur et dispositif conçus pour déterminer un dessin d'un dispositif médical comprenant une partie en forme de tige Download PDF

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Publication number
WO2024028352A1
WO2024028352A1 PCT/EP2023/071337 EP2023071337W WO2024028352A1 WO 2024028352 A1 WO2024028352 A1 WO 2024028352A1 EP 2023071337 W EP2023071337 W EP 2023071337W WO 2024028352 A1 WO2024028352 A1 WO 2024028352A1
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WO
WIPO (PCT)
Prior art keywords
shaped portion
rod shaped
computer
magnetic field
external magnetic
Prior art date
Application number
PCT/EP2023/071337
Other languages
English (en)
Inventor
Metin Sitti
Martin Phelan
Original Assignee
MAX-PLANCK-Gesellschaft zur Förderung der Wissenschaften e.V.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US17/816,774 external-priority patent/US20240041550A1/en
Priority claimed from US17/816,779 external-priority patent/US20240041532A1/en
Priority claimed from DE202022104403.1U external-priority patent/DE202022104403U1/de
Priority claimed from DE202022104405.8U external-priority patent/DE202022104405U1/de
Priority claimed from LU502623A external-priority patent/LU502623B1/en
Priority claimed from LU503167A external-priority patent/LU503167B1/en
Application filed by MAX-PLANCK-Gesellschaft zur Förderung der Wissenschaften e.V. filed Critical MAX-PLANCK-Gesellschaft zur Förderung der Wissenschaften e.V.
Publication of WO2024028352A1 publication Critical patent/WO2024028352A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00158—Holding or positioning arrangements using magnetic field
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/082—Probes or electrodes therefor
    • A61B18/085—Forceps, scissors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/73—Manipulators for magnetic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0127—Magnetic means; Magnetic markers
    • H—ELECTRICITY
    • H02—GENERATION; CONVERSION OR DISTRIBUTION OF ELECTRIC POWER
    • H02K—DYNAMO-ELECTRIC MACHINES
    • H02K41/00—Propulsion systems in which a rigid body is moved along a path due to dynamo-electric interaction between the body and a magnetic field travelling along the path
    • H02K41/02—Linear motors; Sectional motors
    • H02K41/035—DC motors; Unipolar motors
    • H02K41/0352—Unipolar motors
    • H02K41/0354—Lorentz force motors, e.g. voice coil motors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00411—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like actuated by application of energy from an energy source outside the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595—Cauterization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/374—NMR or MRI
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0009—Making of catheters or other medical or surgical tubes

Definitions

  • the present disclosure is directed a computer-implemented method configured to determine a design of a medical device comprising a rod shaped portion, a data processing device comprising a processor configured to carry out the method, a computer program comprising instructions which, when the program is executed by a computer, cause the computer to carry out the method, and a computer-readable medium comprising instructions which, when the instructions are executed by a computer, cause the computer to carry out the method.
  • Cardiovascular disease is the leading cause of death worldwide according to the World Health Organization, responsible for 17.9 million deaths as of 2019.
  • Cardiovascular MRI Magnetic Resonance Imaging
  • MR-guided interventional cardiology is a limited field of study due to the lack of MR-compatible tools that can safely operate within the MR environment and perform comparably to commercial catheters.
  • an interventional cardiologist uses a commercial catheter shape with a distinct shape that is designed to assist in gaining access to a specific region of the heart of a human being and/or an animal during a catheterization procedure.
  • the designated region cannot be accessed, e.g., due to the location of the affected area and/or the mechanical limitations of commercial catheters.
  • This calls for either open surgery or recatheterization to introduce a superior shape for the application.
  • open-surgery increases patient recovery time and blood loss while recatheterization can add more time and radiation exposure to the intervention while keeping the patient under anesthesia.
  • one task of the present disclosure may be to disclose a method and/or an apparatus which are each suitable for enriching the prior art.
  • One concrete object of the disclosure can be formulated as to provide a computer- implemented method configured for determining an individual configuration/design of an MRI compatible catheter configured to reach a specific region of the heart of a human being and/or an animal during a catheterization procedure.
  • a computer-implemented method configured for determining a design of a medical device comprising a rod shaped portion configured to be inserted into an anatomical structure of a human being and/or an animal.
  • the rod shaped portion comprises at least one magnetic element configured and arranged to deform the rod shaped portion using an external magnetic force acting on the at least one magnetic element.
  • the method comprises a step of simulating a shape of the rod shaped portion resulting when the at least one element located at a defined position at the rod shaped portion having a defined size is subjected to a defined external magnetic field producing the external magnetic force using a finite element (FE) model of the rod shaped portion.
  • FE finite element
  • the method comprises a step of determining a difference between the simulated shape and at least one desired shape of the rod shaped portion, the rod shaped portion having at least one desired shape being configured to be inserted into the anatomical structure of the human being and/or the animal.
  • the method comprises a step of adapting the defined position, the defined size and/or the defined external magnetic field based on the determined difference using an optimization method.
  • the step of simulating, the step of determining and the step of adapting are carried out iteratively until the determined difference is below a defined threshold.
  • a computer-implemented method configured for determining a design of a medical device comprising a rod shaped portion, optionally a catheter, such that the rod shaped portion is configured to be inserted into an anatomical structure, optionally a heart, of a human being and/or an animal, optionally through a blood vessel thereof.
  • the rod shaped portion comprises at least one coil configured and arranged to deform the rod shaped portion using a Lorentz force.
  • the method comprises a step of simulating a shape of the rod shaped portion when the at least one coil located at a defined position at the rod shaped portion having a defined size is supplied with a defined current while a defined external magnetic field acts on the coil using a FE model of the rod shaped portion.
  • the method comprises a step of determining a difference between the simulated shape and a desired shape of the rod shaped portion, the rod shaped portion having the desired shape being configured to be inserted into the anatomical structure of the human being and/or the animal.
  • the method comprises a step of adapting the defined current, the defined position, the defined size and/or the defined external magnetic field based on the determined difference using an optimization method.
  • the step of simulating, the step of determining and the step of adapting are carried out iteratively until the determined difference is below a defined threshold.
  • both methods are based on the same inventive idea, as will be discussed in detail below, wherein the first method is directed to a medical device (e.g., to be used in combination with an X-Ray imaging device) comprising a magnetic element permanently generating a static magnetic field and the second method is directed to a medical device (e.g., to be used in combination with an MRI device) comprising a coil configured to generate a magnetic field depending on a current supplied to the coil.
  • both devices use magnetic forces to actuate or deform the rod shaped portion. Therefore, if a description is given herein with respect to one of these specific designs, the description applies mutatis mutandis to the other design unless explicitly otherwise stated.
  • an automated design process for a technical system i.e., the rod shaped portion of the medical device, comprising at least one simulation step in which the behavior of the rod shaped portion when being subjected to an external magnetic field is simulated, is provided.
  • a finite element (FE) model is used to simulate the behavior, i.e., the deformation, of the rod shaped portion caused by the Lorentz force.
  • the desired shaped is chosen to be compatible with the intended use of the rod shape portion, i.e., to be suitable to be inserted into the anatomical structure, optionally into the blood vessel of a human being and/or an animal.
  • the underlying FE model forms in combination with the desired shape of the rod shaped portion technical boundaries that contribute to technicality or the technical character of the claimed subject matter since they form the basis for a further technical use of the outcomes of the simulation, i.e., the resulting configuration/design of the rod shaped portion of the medical being compatible with the anatomical structure in the magnetic field.
  • the desired shape is limited by the physical reality, i.e., by the physical reality of the anatomical structure (e.g., by dimensions of blood vessels etc. in the anatomical structure), and the FE model is also limited by the physical reality, i.e., by the mechanical properties of the rod shaped portion (e.g., length and stiffness thereof as well as the coil dimensions) and the magnetic field (e.g., the orientation of the magnetic field with respect to the at least one coil and the strength of the magnetic field).
  • the physical reality i.e., by the physical reality of the anatomical structure (e.g., by dimensions of blood vessels etc. in the anatomical structure)
  • the FE model is also limited by the physical reality, i.e., by the mechanical properties of the rod shaped portion (e.g., length and stiffness thereof as well as the coil dimensions) and the magnetic field (e.g., the orientation of the magnetic field with respect to the at least one coil and the strength of the magnetic field).
  • the method uses an optimization method to iteratively update/adapt/tune the input parameters (i.e., the defined current, the defined position, the defined size and/or the defined external magnetic field) thereby decreasing the number of iterations needed to find a design that is within the tolerance range, i.e., that achieves a difference below the threshold, in comparison to a straightforward implementation of randomly searching for a suitable design.
  • the input parameters i.e., the defined current, the defined position, the defined size and/or the defined external magnetic field
  • the method may comprise a step of determining a geometric model of an anatomical structure of a human being and/or an animal in which the rod shaped portion should be inserted, and a step of determining the desired shape of the rod shaped portion based on the determined geometric model.
  • the geometric model of the anatomical structure may be determined based on a CT (computer-assisted tomography/computed axial tomography) scan of the anatomical structure.
  • the method may include a step of obtaining the CT scan using a CT scanner.
  • the method may comprise determining the FE model of the rod shaped portion based on dimensions, e.g. a length and/or a diameter of the coils of the rod shaped portion, and mechanical properties, e.g., a stiffness and/or elasticity of the rod shaped portion, of the rod shaped portion.
  • the method comprises outputting the defined current, the defined position, the defined size and/or the defined external magnetic field when the determined difference is below the predefined threshold.
  • the defined current, the defined position, the defined size and/or the defined external magnetic field that were at last used by the method and that lead to a difference being below the predefined threshold may be output.
  • This output data i.e. , the result of the method, may be considered functional data because it allows manufacturing the rod shaped portion to be suitable for the intended use.
  • the method may comprise a step of manufacturing the rod shaped portion of the medical device based on the output the defined size and/or the output defined position, a step of configuring a controller of the medical device configured to supply the at least one coil with a current based on the output defined current, and/or a step of configuring a controller of another medical device configured to generate a magnetic field based on the output defined external magnetic field.
  • the difference between the simulated shape and the desired shape of the rod shaped portion is represented by a maximum deflection error among predefined measurement points on the desired shape and the simulated shape.
  • a deflection error may be defined as a distance between a predefined measurement point on the desired shape and a corresponding predefined measurement point on the simulated shape, wherein both measurements points have the same distance to a distal end of the rod shaped portion in an initial state of the respective rod shape portion, i.e. , in a state in which the rod shape portion is straight.
  • the optimization method may be based on a cost function mapping input parameters comprising the defined current, the defined position, the defined size and/or the defined external magnetic field to the maximum deflection error.
  • the optimization method may be based on an optimization problem searching for the arguments of the maxima of the cost function within a predefined search space for the defined current, the defined position, the defined size and/or the defined external magnetic field, respectively.
  • the step of simulating, the step of determining and the step of adapting may be carried out iteratively until the determined maximum deflection error is below the predefined threshold.
  • the method may comprise a step of determining the defined threshold based on dimensions of the rod shaped portion, optionally based on a length of the rod shaped portion, further optionally as a percentage of the length of the rod shaped portion.
  • the method may comprise a step of determining the defined search space for the defined current, the defined position, the defined size and/or the defined external magnetic field based on physical limitations of the rod shaped portion, respectively.
  • the defined size and/or the defined external magnetic field may be kept constant, respectively. Additionally or alternatively, a constant step size for adapting the defined current and/or the defined position may be used, respectively.
  • the rod shape portion of the medical device may be a catheter, optionally a cardiovascular catheter, configured to be inserted into a blood vessel of a human being and/or an animal, optional a distal end of the catheter.
  • the catheter may be a coronary catheter.
  • a simulation-based approach for designing such a multi-coil Lorentz forced-based cardiovascular catheter for intervening within MR scanners without the need for additional catheters may be provided.
  • a finite element simulation developed to model the nonlinear deformations of the Lorentz forced-based catheter may be provided in combination with a design optimization problem that may be formulated to achieve a desired catheter shape using a Bayesian optimization algorithm.
  • this disclosure may take an approach in which Bayesian optimization using Gaussian Processes may be used for arbitrary catheter shapes, e.g., including known angiographic shapes. Therefore, the disclosure is not limited to generate a patient specific desired shape.
  • Bayesian optimization (BO) methods are advantageous due to their ability to test a small set of data points using a probabilistic model (Gaussian processes) to account for unknown variances in an experiment.
  • the objective function may be tuned to the workspace of the heart in order to maximum coverage while maximizing contact force applied by the catheter on the heart surface to determine the optimal coil and catheter design.
  • a data processing device comprising a processor
  • the processor is configured to carry out the above described method at least partly.
  • a computer program comprises instructions which, when the program is executed by a computer, cause the computer to carry out the above described method at least partly.
  • a computer-readable medium optionally a computer-readable storage medium and/or a data signal (e.g., provided via the Internet), is provided, wherein the computer-readable medium comprises instructions which, when the instructions are executed by a computer, cause the computer to carry out the above described method at least partly.
  • a medical device comprising a rod shaped portion configured to be inserted into an anatomical structure of a human being and/or an animal.
  • the rod shaped portion comprises at least one magnetic element and/or at least one coil configured and arranged to deform the rod shaped portion using an external magnetic force acting on the at least one magnetic element and/or the at least one coil.
  • the rod shaped portion comprises a design at least partly determined according to the above described method.
  • a computer-implemented method covers claims which involve computers, computer networks or other programmable apparatus, whereby at least one feature is realized by means of a program.
  • a computer-implemented method may be a method which is at least partly carried out by a data processing unit, e.g. a computer.
  • Electric current may be used. Electric currents create magnetic fields, which may be used to actuate or move the medical device in the (external) magnetic field.
  • determining may include carrying out one or more mathematical operations in order to determine based on a given input in a given manner a desired output.
  • an electromagnetic coil may be an electrical conductor such as a wire in the shape of a coil, spiral or helix.
  • An electric current may be passed through the wire of the coil to generate a magnetic field.
  • a current through any conductor creates a circular magnetic field around the conductor due to Ampere's law.
  • One advantage of using the coil shape may be that it increases the strength of the magnetic field produced by a given current.
  • the magnetic fields generated by the separate turns of wire all pass through the center of the coil and add (superpose) to produce a strong field there. The more turns of wire, the stronger the field produced may be and the stronger the effect of Joule heating may be.
  • the external magnetic field may be produced by an MRI device.
  • the external magnetic field may have a field strength between 0,05 T and 25 T, optionally between 0,1 T and 21 T, further optionally between 0,1 T and 9,4 T, further optionally between 1 ,5 T and 7,0 T, further optionally between 0,1 T and 3,0 T.
  • the external magnetic field may be static.
  • the device may be a medical device.
  • a medical device may be any device intended to be used for medical purposes.
  • a medical device may be an instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, including a component part, or accessory which is intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, in man or other animals, and/or intended to affect the structure or any function of the body of man or other animals, and which does not achieve its primary intended purposes through chemical action within or on the body of man or other animals and which is not dependent upon being metabolized for the achievement of its primary intended purposes.
  • the term “medical device” may or may not include software functions. According to another possible definition the term “medical device” may mean any instrument, apparatus, appliance, software, material or other article, whether used alone or in combination, including the software intended by its manufacturer to be used specifically for diagnostic and/or therapeutic purposes and necessary for its proper application, intended by the manufacturer to be used for human beings or animals for the purpose of diagnosis, prevention, monitoring, treatment or alleviation of disease, diagnosis, monitoring, treatment, alleviation of or compensation for an injury or handicap, investigation, replacement or modification of the anatomy or of a physiological process, and/or control of conception, and which does not achieve its principal intended action in or on the human and/or animal body by pharmacological, immunological or metabolic means, but which may be assisted in its function by such means.
  • a rod shaped portion may be a portion or part of the medical device that may have a substantially circular cross section.
  • the rod shaped portion may have cylindrical form wherein a height or length of the rod shaped portion exceeds the diameter of the rod shaped portion.
  • the tip of the rod shaped portion may be outermost part of the rod shaped portion in a forward direction of the medical device, i.e., a distal end thereof.
  • the rod shaped portion may comprise or may be realized using a tube.
  • the distal end may be called insertion tip of the medical device.
  • a catheter may comprise a thin tube, i.e. the rod shaped portion, made from medical grade materials serving a broad range of functions. Catheters are medical devices that can be inserted in the body to treat diseases and/or perform a surgical procedure.
  • a catheter may comprise a thin, flexible tube ("soft" catheter) through catheters are available in varying levels of stiffness depending on the application. This may be taken into account by the (Cosserat) model.
  • the catheter may be configured to be inserted into a body cavity, duct, or vessel, brain, skin or adipose tissue. Functionally, the catheter may allow drainage, administration of fluids or gases, access by surgical instruments, and/or perform a wide variety of other tasks depending on the type of catheter.
  • the catheter may be a so called probe used in preclinical or clinical research for sampling of lipophilic and hydrophilic compounds, protein-bound and unbound drugs, neurotransmitters, peptides and proteins, antibodies, nanoparticles and nanocarriers, enzymes and vesicles.
  • a magnetic resonance imaging device is a medical imaging device configured to be used in magnetic resonance imaging (MRI) which is a medical imaging technique that may be used in radiology to form pictures of the anatomy and the physiological processes of the body.
  • MRI scanners use strong magnetic fields, magnetic field gradients, and radio waves to generate images of the organs in the body.
  • MRI magnetic resonance imaging
  • NMR nuclear magnetic resonance
  • consisting of is exhaustive, i.e. , the respective consisting of non-magnetic material does not comprise or contain magnetic material.
  • Non-magnetic material is any material that does not meet the definition of a magnetic material according to this disclosure.
  • a magnetic material according to this disclosure is any material that may produce its own persistent magnetic field even in the absence of an applied magnetic field. Those materials are called magnets.
  • a magnetic material is any material that produces a magnetic field in response to an applied external magnetic field - a phenomenon known as magnetism - wherein the produced magnetic field is considerable in the context of or destroys MRI compatibility of the electric motor. More specifically, there are several types of magnetism, and all materials exhibit at least one of them. However, in this disclosure the term magnetism refers to ferromagnetic and ferrimagnetic materials only. These materials are the only ones that can retain magnetization and become magnets.
  • Ferrimagnetic materials which include ferrites and the magnetic materials magnetite and lodestone, are similar to but weaker than ferromagnetics.
  • paramagnetic materials such as platinum, aluminum, and oxygen
  • diamagnetic materials such as carbon, copper, water, and plastic
  • which are repelled by both poles and which are compared to paramagnetic and ferromagnetic substances even more weakly repelled by a magnet are also considered non-magnetic materials.
  • the term “is configured to” in this disclosure should be interpreted in a manner limiting the respective device which is configured to be used or to do something in that the device is structurally suitable or adapted to be used for the specific purpose.
  • the medial device especially the rod shape portion and more specifically the tip or distal end thereof, may be configured to be inserted into an anatomic structure, optionally a blood vessel, of an animal and/or a human being. Therefore, the rod shaped portion may have dimensions that are limited by the dimensions of the anatomic structure, optionally an inner diameter of the blood vessel, of the human being and/or the animal in which it is configured to be inserted.
  • the rod shaped portion may have an outer diameter of 0,1 mm to 50 mm.
  • a multi-coil catheter may be constructed using a 6 F polyurethane tube and solenoid coils wrapped using 80 pm enameled copper wire with 150 coil loops.
  • all solenoids may be wound on separate tubing and reattached using heat shrink to form the catheter.
  • Wire leads may be soldered using 400 pm copper wire.
  • a device is to be understood as “at least one device and/or exactly one device”.
  • Fig. 1 schematically shows a flow-chart of a computer-implemented method according to the disclosure configured for determining a configuration of a medical device comprising a rod shaped portion according to the disclosure
  • Fig. 2 schematically shows a perspective view on a catheter whose configuration/design is to be determined using said computer-implemented method.
  • FIG 1 a flowchart for a computer-implemented method 100 configured for determining a design of a medical device 1 comprising a rod shaped portion 2 (see figure 2) being configured to be inserted into an anatomical structure of a human being and/or an animal is shown.
  • the flexible/elastic rod shaped portion 2 comprises at least one coil (or magnetic element) 3 configured and arranged to deform the rod shaped portion using an external magnetic field B o acting on the at least one coil (magnetic element) 3 resulting in case the coil 3 is used a Lorentz force.
  • the coil 3 is used a Lorentz force.
  • five coils (or magnetic elements) 3 are used.
  • the method comprises an optional step 101 of determining a geometric model of the anatomical structure of the human being and/or the animal.
  • the method comprises an optional step 102 of determining the desired shape of the rod shaped portion 2 based on the determined geometric model.
  • the geometric model of the anatomical structure may be determined based on a CT scan of the anatomical structure.
  • Steps 101 and 102 allow for a patient specific determination of the desired shape.
  • one or more desired shapes for the rod shaped portion may be loaded from a database comprising the one or more desired shapes, e.g., commercial catheter shapes widely used in cardiovascular catherization.
  • the method comprises an optional step 103 of defining an initial coil position, an initial current and/or coil size for each one of the coils 3, respectively, and an initial magnetic field strength and/or orientation of the external magnetic field B o .
  • the method comprises an optional step 104 of (initially) determining a FE model of the rod shaped portion 2 based on dimensions and mechanical properties of the rod shaped portion.
  • the method comprises a step 105 of simulating a shape of the rod shaped portion 2 resulting when the coils 3 located at the respective defined position at the rod shaped portion 2 having the respective defined size are supplied with the respective defined current while the respective defined external magnetic field B o acts on the coils 3 using the FE model of the rod shaped portion 2.
  • the finite element (FE) model may solve the deformation of the rod shaped portion, e.g., a (soft) catheter, driven by the Lorentz force, which is generated by the current-carrying coils 5 in a (high) magnetic field such within an MRI device.
  • the model may be implemented using a FE solver and a code written to simulate magnetic torques applied on the rod shaped portion 2. It may be assumed that the rod shaped Y1 portion 2 is oriented at 90 ° with respect to a static magnetic field B o to maximize the output torque from the coils 5 and to simplify the following search for suitable parameters. The same is true for the coil size and/or the number of coils, which is fixed to five coils 3 in this specific example.
  • the method comprises a step 106 of determining a difference between the simulated shape and a desired shape of the rod shaped portion 2, the rod shaped portion 2 having the desired shape being configured to be inserted into the anatomical structure of the human being and/or the animal.
  • the method comprises a step 105 of determining a difference between the simulated shape and a desired shape of the rod shaped portion 2, the rod shaped portion 2 having the desired shape being configured to be inserted into the anatomical structure of the human being and/or the animal.
  • the method comprises a step 107 of determining if a difference between the simulated shape and a desired shape of the rod shaped portion 2 is below a defined threshold.
  • the difference between the simulated shape and the desired shape of the rod shaped portion 2 may be represented by a maximum deflection error among predefined measurement points on the desired shape and the simulated shape.
  • the method comprises a step 108 of adapting the defined current, the defined position, the defined size and/or the defined external magnetic field B o based on the determined difference using an optimization method.
  • a constant step size for adapting the defined current, the defined size, the defined external magnetic field B o and/or the defined position may be used, respectively.
  • the optimization method may be based on a cost function mapping input parameters comprising the defined current, the defined position, the defined size and/or the defined external magnetic field to the maximum deflection error.
  • the optimization method may be based on an optimization problem searching for the arguments of the maxima of the cost function within a predefined search space for the defined current, the defined position, the defined size and/or the defined external magnetic field, respectively.
  • the step 108 may comprise an optional step of determining the defined search space for the defined current, the defined position, the defined size and/or the defined external magnetic field based on physical limitations of the rod shaped portion 2, respectively.
  • a cost function of the proposed optimization method may be defined as: which maps the input parameters to scalar cost value, (i.e. the maximum deflection error among the measurement points on the desired and simulated shapes).
  • the input parameter 0 [d, I] may consist of the position of n many coils on the catheter, d e R n , and the current values, I e R n , running on them.
  • the number of coils and their sizes may be kept constant and set to for example 3 and 5 mm (e.g., corresponding to 150 turns), respectively, to limit the search space size.
  • the optimization problem may be formulated as: where 0 and D(0) are the complete search space and the obtained deflection error for a given input parameter set 0, respectively.
  • the proposed optimization method may iteratively test input parameters until the maximum error reaches the target value of, for example, 2% of the catheter’s length (e.g., defined as 15 cm). While defining the search space, the ranges of the input parameters may be determined based on the physical limitations of the catheter design. Accordingly, the coil currents may be defined between -300 mA and 300 mA, whereas the limits of each coil’s position may be found considering the total length of the catheter, coils and other coils’ positions.
  • the step sizes for coil currents and positions used to discretize the search space may be 10 mA and 5 mm (L coa ).
  • Coil positions may be defined as the distance from the: 1 ) tip point of the catheter to the first coil (L dist ) and 2) end point of the (n + 1 th ) coil to the (n th ) coil.
  • the results of the design algorithm indicate it is feasible to achieve a library of 100 shapes using various design inputs including coil locations and current inputs, wherein a study shows that the shapes may be achieved with less than 2% error and solved in less than 100 iterations (median: 10, average: 17.7, max: 95).
  • step 104 updates or adapts the FE model based on the updated defined current, the defined position, the defined size and/or the defined external magnetic field B o .
  • the above described steps 104 - 108 are carried out iteratively until the determined difference is below a defined threshold, e.g., 2% of the length (e.g., of a defined part) of the rod shaped portion 2. If the difference, e.g., the determine maximum deflection error, is below the defined or fixed threshold, the method moves forward with an optional step 109 of further processing the results of the method, i.e., the defined current, the defined position, the defined size and/or the defined external magnetic field B o .
  • a defined threshold e.g., 2% of the length (e.g., of a defined part) of the rod shaped portion 2. If the difference, e.g., the determine maximum deflection error, is below the defined or fixed threshold, the method moves forward with an optional step 109 of further processing the results of the method, i.e., the defined current, the defined position, the defined size and/or the defined external magnetic field B o .
  • the optional step 109 may comprise a step of outputting the defined current, the defined position, the defined size and/or the defined external magnetic field, a step of manufacturing the rod shaped portion of the medical device based on the output the defined size and/or the output defined position, a step of configuring a controller of the medical device configured to supply the at least one coil with a current based on the output defined current, and/or a step of configuring a controller of another medical device configured to generate a magnetic field based on the output defined external magnetic field B o .

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Abstract

La présente divulgation concerne un procédé mis en œuvre par ordinateur conçu pour déterminer un dessin d'un dispositif médical (1) comprenant une partie en forme de tige (2) destinée à être insérée dans une structure anatomique d'un être humain et/ou d'un animal, la partie en forme de tige comprenant au moins un élément magnétique (3) conçu et agencé pour déformer la partie en forme de tige à l'aide d'une force magnétique externe agissant sur l'élément. Le procédé comprend une étape de simulation d'une forme de la partie en forme de tige résultant lorsque le ou les éléments situés au niveau d'une position définie au niveau de la partie en forme de tige ayant une taille définie sont soumis à un champ magnétique externe défini produisant la force magnétique externe à l'aide d'un modèle FE de la partie en forme de tige, une étape de détermination d'une différence entre la forme simulée et au moins une forme souhaitée de la partie en forme de tige.
PCT/EP2023/071337 2022-08-02 2023-08-01 Procédé mis en œuvre par ordinateur et dispositif conçus pour déterminer un dessin d'un dispositif médical comprenant une partie en forme de tige WO2024028352A1 (fr)

Applications Claiming Priority (14)

Application Number Priority Date Filing Date Title
US17/816,774 US20240041550A1 (en) 2022-08-02 2022-08-02 Method for controlling a movement of a medical device in a magnetic field
US17/816,774 2022-08-02
US17/816,779 US20240041532A1 (en) 2022-08-02 2022-08-02 Catheter and method for controlling the catheter
US17/816,779 2022-08-02
DE202022104403.1 2022-08-02
DE202022104403.1U DE202022104403U1 (de) 2022-08-02 2022-08-02 Vorrichtung zur Steuerung der Bewegung einer medizinischen Vorrichtung in einem Magnetfeld
DE202022104405.8U DE202022104405U1 (de) 2022-08-02 2022-08-02 Katheter und Vorrichtung zur Steuerung des Katheters
LU502623A LU502623B1 (en) 2022-08-02 2022-08-02 Endoscope and method for controlling the endoscope
DE202022104405.8 2022-08-02
LULU502623 2022-08-02
EP22212545.2 2022-12-09
LU503167A LU503167B1 (en) 2022-08-02 2022-12-09 Computer-implemented method and device configured to determine a design of a medical device comprising a rod shaped portion
EP22212545.2A EP4316336A1 (fr) 2022-08-02 2022-12-09 Dispositif conçu pour être inséré dans un vaisseau sanguin d'un être humain et/ou d'un animal, et moteur électrique et module magnétohydrodynamique pour le dispositif
LULU503167 2022-12-09

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PCT/EP2023/071337 WO2024028352A1 (fr) 2022-08-02 2023-08-01 Procédé mis en œuvre par ordinateur et dispositif conçus pour déterminer un dessin d'un dispositif médical comprenant une partie en forme de tige

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DE202005007091U1 (de) * 2005-05-03 2005-08-04 Esa Patentverwertungsagentur Sachsen-Anhalt Gmbh Katheter
US20070088197A1 (en) * 2000-02-16 2007-04-19 Sterotaxis, Inc. Magnetic medical devices with changeable magnetic moments and method of navigating magnetic medical devices with changeable magnetic moments
EP2305115A1 (fr) * 2008-06-06 2011-04-06 Microport Medical (Shanghai) Co., Ltd. Procédé de simulation de la forme coudée d'un cathéter et cathéter à induction magnétique
US20150104085A1 (en) * 2013-10-10 2015-04-16 Medtronic, Inc. Method and System for Ranking Instruments
US20180125581A1 (en) * 2016-11-08 2018-05-10 Henry Ford Health System Selecting a medical device for use in a medical procedure

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US6304769B1 (en) 1997-10-16 2001-10-16 The Regents Of The University Of California Magnetically directable remote guidance systems, and methods of use thereof
AU3845099A (en) 1998-05-15 1999-12-06 Robin Medical Inc. Method and apparatus for generating controlled torques on objects particularly objects inside a living body

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Publication number Priority date Publication date Assignee Title
US20070088197A1 (en) * 2000-02-16 2007-04-19 Sterotaxis, Inc. Magnetic medical devices with changeable magnetic moments and method of navigating magnetic medical devices with changeable magnetic moments
DE202005007091U1 (de) * 2005-05-03 2005-08-04 Esa Patentverwertungsagentur Sachsen-Anhalt Gmbh Katheter
EP2305115A1 (fr) * 2008-06-06 2011-04-06 Microport Medical (Shanghai) Co., Ltd. Procédé de simulation de la forme coudée d'un cathéter et cathéter à induction magnétique
US20150104085A1 (en) * 2013-10-10 2015-04-16 Medtronic, Inc. Method and System for Ranking Instruments
US20180125581A1 (en) * 2016-11-08 2018-05-10 Henry Ford Health System Selecting a medical device for use in a medical procedure

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